I love these AKA videos. We are such an inclusive community and there is no shaming. The world would be a much nicer and peaceful place if everyone was as curious, understanding, accepting and empathetic as everyone in this community. Thank you for doing these videos Kati and for also creating such an inclusive place for us all.
Time Stamps 1) 01:18: What is/are the most common things where a client thinks they're the "only one", but really a therapist hears it ALL the time... 2) 06:27: How do you handle a client that appears to be really struggling at the very end of a session? As in about to burst into tears and very obviously just trying to hold everything together (but unsuccessfully)? I have C-PTSD and my biggest triggers are feeling dismissed or abandoned. I’ve been in therapy for over a year now. At one of my last sessions we talked a lot about my lack of self worth and not wanting to take up space in other’s lives, and I was doing okay until the last couple of minutes... 3) 26:18: Why do I find the thought of my therapist comforting or feeling empathy for me so soothing yet so uncomfortable? I'm not sure about it being attached to her. (what's the difference between comfort and attachment? ) but there is something so weird about it. Last session I was really dissociating and panicking... 4) 33:41: Is there any "real" therapy work in the beginning/ when the client comes in every session with a whole bag of stories to tell? My therapist encourages me to talk about anything on my mind/how life has been because she wants to give me that space rather than follow what is on her notes. But because I don't see her weekly (can't afford it), so much... 5) 37:41: What if you had clients who did very bad things or shameful things? Should they mask it when they go to therapy or just say everything into the DETAIL? Like what if the client says they are abusing protected classes or they admitted to murder? 6) 41:19: How do I be okay with being myself in therapy? I have social anxiety, so I always have trouble talking in session, even answering simple questions is hard. But last session, I was able to open up more than ever before and just be myself like how I would be with someone I know well and trust... 7) 46:02: What does a therapist have in place for their clients in case something happens to them (the therapist)? For example, a therapist dies or has a sudden emergency where they have to quit therapy? Do they have confidential information that is then able to be passed on to someone else so that the client doesn't start over completely?... 8) 51:18: I’m wondering after a patient ends therapy how long do you keep their notes? What if they come back after that time? 9) 53:36: Is it possible to have "symptoms" that aren't really symptoms? I feel like I am now hyper analyzing everything I do thinking that maybe it's a symptom but I wonder if some of them are just my habits and not a sign of mental illness. For example when I rub one nail under another and it feels physically uncomfortable if I don't do it, is it a compulsion or is it just something weird that I do? Feeling like I need to check my doors multiple... 10) 1:00:07: I recently set up an appt with my therapist after a year of not seeing her. I’m a frontline healthcare worker and the burnout is real. I’ve been struggling with postpartum anxiety and postpartum depression and some mild suicidal ideation. I’ve never experienced anything like this and it’s honestly scary! Anyway, now that I’ve made the appt I’m suddenly feeling like I’m being dramatic and none of this is a big deal because I know...
I am question number 9. You asked about my parents insurance, the trick is that we don't have insurance. All that we have is a health share plan for catastrophic injuries and illnesses so mental health care would not be covered
Thank you front line health workers! You deserve all the support you can receive. All I can do is to be safe so you won't have to count me as one of your patients.❤️
Love your poofy sleeves! I'm glad you're doing good. Yesterday was 2 years since I lost my best friend, my husband, still a bit down today, but I'm getting through it.
I’m really sorry to hear you’ve been having to go through that, i can’t imagine how painful that must be. I’m sure feeling down today is something everyone can understand and you being able to recognise those feelings in yourself and accept them sounds really healthy. Getting through it is awesome and please try to allow yourself to feel everything you need to and give yourself the time you need and not push too fast. Take care ❤️
I'm listening to the podcast now. In terms of ending session early, this is where being clear about the time allowance is crucial in the very beginning. I think for those who struggle with feeling like they're just "taking up space," suddenly being told that therapy time is up and to "go cry in the car," can really feel like punishment. Also, if the client is seriously upset, I think it would also be up to the therapist to make sure that their client is safe enough to be able to go home, or continue with the rest of their day. I know that for some of my really tough sessions, my therapist would follow up with a short phone session the next day (like 15 minutes or so), just as a check in.
Hi Kati, I'm glad to be back. I've been gone about a month and a half. I was in the psych ward for 8 days and then I got referred to a residential facility and was there 24 days.
This channel is underrated. I love this. I wish I could find a therapist like you in my real life. Huge fan here, I will be binging these vids in my spare time.
Kati, thank you for being honest about when you're stressed, tired, etc. It is very freeing because it reminds me of the importance of being real to ourselves and to others. Thank you also for taking care of yourself and setting boundaries so you have the resources to care for others. You do amazing work! I'm a new listener, but I've been "binge listening" for several days and finding it very helpful. I finally took the first step toward finding a therapist yesterday, and thanks to you I feel much better prepared to begin the journey. Keep up the awesome work! ❤
My therapist lets me know when I get there when she can’t go over time. She spends a few extra minutes with me sometimes and it really means a lot. I have always struggled with low self worth and her spending the extra few minutes (only when she can) has really helped me start to realize that I do have worth and I am cared about. I do understand a therapist needing to set boundaries for themselves, especially with certain clients. But sometimes my therapist is the only person I feel I can trust and talk to. She does let me text her but I make sure I don’t let it get out of control and I’ve asked her to always let me know if I’m crossing any boundaries. Maybe we’re doing it wrong but it’s working for me. My ED after 24 years finally came to a stop. I’ve learned what it’s like for someone to really hold space and listen. We didn’t know it but we worked together over 4 hours away together at the same time, just different shifts so we never met each other. If we had met back then she probably wouldn’t be my therapist today so I’m happy it worked out the way it did.
After hearing how she addresses the trauma experienced by those who work with trauma I would like to hear her take on secondary trauma. I've worked in mental health for over forty years but of all of the different capacities that I have worked, the one area which I think has stood out was what I call a dysthymic offset of secondary trauma that I experience from working with survivors of domestic and sexual violence. I just can't seem to turn it off.
I was laughing at your answer at the first question... 'Nope, seen it before' 'nope. Not the only one' and 'heard it before'. Including your facial expressings 😂😅
Hello people I'm just watching this podcast now iv been in hospital wasn't able to use phone much just want to share iv been very depressed and anxious for over a week my recovery at home, from hospital is slow and how I'm feeling iv missed and needed these kati podcast catching up now hope everyone in the kati community is doing best they can take care all
The first time my therapist brought out the "you're not alone" speech, my response was "so you're telling me i'm a basic b!tch?". It did work and I did feel better, we just shared a dry sense of humor.
14:12 I actually never felt right about going over on time. Most of the time I was not the last patient of the day and whenever the next patient arrives in the office we press a little button. This would cause a small red light to come on in the session room. Correspondingly, I never became upset if the previous patient went over. I just reminded myself to be grateful.
I feel like I have been pushing that time boundary lately with my therapist. I don’t think I do it consciously, but I’ve noticed occasionally that happens. I am always kind of thankful and appreciative that she enforced her boundary. She never comes across as harsh.
Hi, once after a therapy session I was very agitated and restless. I was offered another session the same day and I gratefully accepted because I needed it to come down again in a safe space. Since then I have not needed a double session although I was not always relaxed after the sessions. I guess I have learned that I can calm myself down. The thought that I am not alone in this despite the distance to my therapist has helped me a lot. As did her setting limits on the length of sessions and not reporting between sessions. Lisa
When I was going to my grieving process my psychologist’s homework was to text her once a day saying what I did that day, listening this I’m not sure if Katy would approve of that but it really helped me to heal and get my life together a little bit and I’ll be always grateful for her. Maybe is important to say that I don’t have abandonment issues and I was actually going more into self-isolation, and I’m also autistic so maybe with all of that would make it a good approach? Idk
I took a break from you and your videos and all other social media you’re on because I was feeling too attached to watching you. Almost like my attachments i get but I never knew it would happen to someone online. So overwhelming! But here I am again. ☹️
Yay! I've been waiting for this! Idk why I didn't get a notification, so I'm glad I just searched it! Getting excited for next week since I pre-ordered your new book! Hope your week is great! Love and hugs 🤗 ❤
I am question number 9. You asked about my parents insurance, the trick is that we don't have insurance. All that we have is a health share plan for catastrophic injuries and illnesses so mental health care would not be covered
The most important think a parent can offer a child is consistency. With CPTSD, the therapist takes that position, and the consistency, while initially painful, offers a powerfully dependable space, a surety of my ability to survive a hard feeling apart from you, and a surety of your continued existence when you're still there the next week. And even being the last client doesn't mean the therapist's life ends then, too. Maybe there's a family member expecting them home by 6.
Hello, I am starting to listen to your podcast, and really enjoy listing to them. I hope that I can ask some questions, and get involved. I am also excited to get your new book soon. I had alot of trauma in the past, and it helps to listen to your explanation.
What if we want to be able to explore suicidal ideation but not get sectioned for it? I have obsessive thoughts about suicide that I feel the need to explore because I don't know how to get past them. I'm feeling frustrated with therapy because I feel that I will never be able to discuss the things that I really need to work through.
Kati, in regards to question 2. What if the client has the opposite issue with boundaries? That being feeling like they're taking up too much time and more to the point not push boundaries but hold back, keep well away from them. I see my therapists boundaries as an electric fence and she sees mine as a brick wall. Thank you.
57:30 Dissociation is just pleasant if you get the right kind. There's a reason people can get addicted to nitrous oxide and ketamine and dextromethorphan. If you can reliably get the comfortable kind of dissociation without putting yourself in danger, why wouldn't you want to invite it in?
On the 1st qn - ending therapy while the client is upset - I just think that making it all about "consistency is good for the client" is not the full answer and I wish you would embrace that its actually good for the therapist too. It feels inauthentic trying to convince the client in a meltdown that its loving to send them away! Its not! But the therapeutic relationship is a business relationship and you can't be there for them like a loved one would. And that's a fact and it is painful! So you trying to convince the client its for their own good is only partly true, and in some cases it could even be gaslighting them! Would you leave your sister half way through crying telling her "this is best for you!"? I totally agree with the boundaries. I just wish you communicate more honestly to them about why they need to be there factoring the needs of all your clients and yourself and not dressing abandonment as "good for you". The time is up and now you have to go away. Its legitimate, this is the agreement, but don't gaslight clients that it is done for their own good. Its done so your practice can run smoothly and you can have a personal life! I wish therapists were brave enougj to admit that instead of gaslighting the client that the abandonment they experienced was false because you were doing what was best for them and for their best interest! No, their best interest would be for you to stay until they feel better - but you can't run a business that way. So when your clients confront you please be honest about that! There is a small benefit to the client learning boundaries but thats not what they needed!
I have a transitional object! It’s a little angel that I keep at home, so that I know that there is someone out there who cares for me and that I can exist.
My dietician gave me a copy of her book (about listening to your body) when I wrapped up treatment due to moving away - she was my favourite person on my treatment team 😊 I didn't realise this was a thing that they did but apparently 10 years on I now understand what she was doing! 😂 💖
Question #5 .. from the title I thought it was going to be something more run of the mill, like cheating which I think might be the most common really hurtful offense committed by ordinary people. But I understand the whole mandated reporter thing. On driving home after a session my wife would ask me to drive her to sessions. She would be nervous about going and often emotional leaving. The therapist thought I was just being a controlling jerk waiting for her in the waiting room. After a few sessions and one were she drove herself she (the therapist) began to see me in a more realistic light...
Do you really want to know how I am? I have to talk to my psych doc about different antidepressants next week because mine quit working. So not weird I know but I'm not excited about it. I used to think I was the only one, ergo, nobody will ever understand me. Now I know I'm really one of a few million.
Consistency! Ha! YES> I'm better at keeping boundaries than my therapist is, and I hate it. One minute it's warm and overly accommodating, and the next it's professional which then feels really cold. It should have been professional the entire time! I wouldn't mind it at all, but there was an exception. One month I'm worth the exception and the next I'm not? I'm all about consistency and boundaries.
I think if what I'm having isn't technically drug induced hypomania, it's in the same family. I'm running on like 4.5 hours of sleep, and I feel emotionally pretty good and physically decent, when I ought to be miserable with this little sleep. My inflammation level is a bit high, but that's why we have aspirin and not being excessive with dietary carbohydrate. If I really invite in weirdness, my thoughts and vision get a bit strange, but I've been much closer to psychosis than this and gone back to normal with no difficulties. In summary, I think I'm doing remarkably well, and you'd probably disagree.
There's lots of people experimenting with sleep. Personally I used to go with 2-4h of sleep for several years when I was in my 20s. I went for my 50min morning run at 5am, then went to office to work, got home 5pm, did 1h of exercise and had coffee and worked some more until 11pm or even 3am. I'm certain there's genetic outliers in the population of people like us who can tolerate living with less sleep than others. Can't say if for me it was hypomania or what. Today I have kids, work and I sleep maybe 5-8h, sometimes less 🤣
Or, maybe you’re not communicating with your patient in the manner in which they can absorb/learn/accept. Too many years wasted with my therapist and finally I see an attorney who in one consultation tells me it sounds like I’ve been in a long term marriage with a narcissist. I had never heard that term, never. So, I go down that rabbit hole and soon discover that the attorney was spot on. It got a lot worse before it’s now better. Panic attacks gone, anxiety gone, isolation gone, therapist gone, attorney gone, Ex narc gone (with a protective order for assaulting me still in place). You do need boundaries with patients and visa versa, but don’t discount that you may be the problem.
Hi I noticed that one of the questions she selected isn't in Thursday's pop cast. It's the question that asks if the therapist can see if the patient is struggling. I think it got 100 plus likes. Would this question be in the next pop cast? Thanks! :)
Hmm, well everyone seems to think I’m out of my skull on this one. My primary care provider put me on Prozac two years ago. But after two years she said she couldn’t write me for any more renewals unless I underwent an “annual physical.” The previous one having actually been from TWO years ago. In the past, I have taken a medication such as Laimisil. One of the risks is liver damage, so after 30 days, you need to have a lab taken (a blood draw). Fine. Fast forward to this “physical” and they actually presented me with a paper gown. I asked the assistant, “Am I supposed to put this on?” She said, “Yes.” Reluctantly, I did so. I mean, WHY? Whenever I’ve been in this office before, the doctor has always been able to listen to my heart and my lungs through the thin shirt I usually wear. 🫁 So, I just go ahead and take everything off except my underwear and put this paper gown on (which I can’t stand). I already feel vulnerable and even a bit humiliated. (“What I have to go through to get a dang prescription for Prozac filled,” I’m thinking.) So the doctor comes in, checks my ears, nose and throat, etc. she then listens through the stethoscope to my lungs and heart. Fine. All well and dandy. Next she has me lie down and proceeds to palpate my abdomen. OK, fine. At a certain point now, she realizes I still have my underwear on and tells me to remove it. I really didn’t know what was happening at this point but since I needed to keep this prescription filled, I complied. She then goes on to perform a complete male genital and hernia exam. OK. I didn’t ask for THIS! But OK. WRF? Let’s get this over with so I can get back to my life. I would have brushed the whole thing off except later on her office kept calling me back for another visit to go over the results. It’s only this second demand that caused me to go down the rabbit hole about this male physical. Am I saying this _very_ attractive female doctor had any prurient desires or that this _full_ MALE exam was other than professional. Absolutely not. BUT … I felt COERCED and MANIPULATED into giving consent, in which case, I argue that I didn’t really give consent. What POSSIBLE relation is there between being prescribed Prozac and having one’s genitalia examined? What if the doctor was a man and the patient a _very_ attractive female about 10 to 12 years younger? Doesn’t this seem problematic? To put the patient into a position of chemical dependence, and then coercing her into a vaginal exam, even if it’s “for her own good?” Doesn’t the PATIENT get to decide if something is “for their own good?”
I love these AKA videos. We are such an inclusive community and there is no shaming. The world would be a much nicer and peaceful place if everyone was as curious, understanding, accepting and empathetic as everyone in this community. Thank you for doing these videos Kati and for also creating such an inclusive place for us all.
Time Stamps
1) 01:18: What is/are the most common things where a client thinks they're the "only one", but really a therapist hears it ALL the time...
2) 06:27: How do you handle a client that appears to be really struggling at the very end of a session? As in about to burst into tears and very obviously just trying to hold everything together (but unsuccessfully)? I have C-PTSD and my biggest triggers are feeling dismissed or abandoned. I’ve been in therapy for over a year now. At one of my last sessions we talked a lot about my lack of self worth and not wanting to take up space in other’s lives, and I was doing okay until the last couple of minutes...
3) 26:18: Why do I find the thought of my therapist comforting or feeling empathy for me so soothing yet so uncomfortable? I'm not sure about it being attached to her. (what's the difference between comfort and attachment? ) but there is something so weird about it. Last session I was really dissociating and panicking...
4) 33:41: Is there any "real" therapy work in the beginning/ when the client comes in every session with a whole bag of stories to tell? My therapist encourages me to talk about anything on my mind/how life has been because she wants to give me that space rather than follow what is on her notes. But because I don't see her weekly (can't afford it), so much...
5) 37:41: What if you had clients who did very bad things or shameful things? Should they mask it when they go to therapy or just say everything into the DETAIL? Like what if the client says they are abusing protected classes or they admitted to murder?
6) 41:19: How do I be okay with being myself in therapy? I have social anxiety, so I always have trouble talking in session, even answering simple questions is hard. But last session, I was able to open up more than ever before and just be myself like how I would be with someone I know well and trust...
7) 46:02: What does a therapist have in place for their clients in case something happens to them (the therapist)? For example, a therapist dies or has a sudden emergency where they have to quit therapy? Do they have confidential information that is then able to be passed on to someone else so that the client doesn't start over completely?...
8) 51:18: I’m wondering after a patient ends therapy how long do you keep their notes? What if they come back after that time?
9) 53:36: Is it possible to have "symptoms" that aren't really symptoms? I feel like I am now hyper analyzing everything I do thinking that maybe it's a symptom but I wonder if some of them are just my habits and not a sign of mental illness. For example when I rub one nail under another and it feels physically uncomfortable if I don't do it, is it a compulsion or is it just something weird that I do? Feeling like I need to check my doors multiple...
10) 1:00:07: I recently set up an appt with my therapist after a year of not seeing her. I’m a frontline healthcare worker and the burnout is real. I’ve been struggling with postpartum anxiety and postpartum depression and some mild suicidal ideation. I’ve never experienced anything like this and it’s honestly scary! Anyway, now that I’ve made the appt I’m suddenly feeling like I’m being dramatic and none of this is a big deal because I know...
thank you! 💙
Thank you!
you are an angel
You therapists on the internet are so smart and cool and nice. How come all the therapists I’ve had in real life were nothing like that?
Hello everyone :)
Hello, happy Thursday. I hope you're taking care of yourself 🙂
Alllo guvnor
I am question number 9. You asked about my parents insurance, the trick is that we don't have insurance. All that we have is a health share plan for catastrophic injuries and illnesses so mental health care would not be covered
Hello Kati. Glad you're back. Hope your Monday break was helpful...
💜
Thank you front line health workers! You deserve all the support you can receive. All I can do is to be safe so you won't have to count me as one of your patients.❤️
These videos are priceless gems. Thanks Kati.❤. Hope you and family are safe; seeing quite sad events unfolding over there.
Love your poofy sleeves! I'm glad you're doing good. Yesterday was 2 years since I lost my best friend, my husband, still a bit down today, but I'm getting through it.
I’m really sorry to hear you’ve been having to go through that, i can’t imagine how painful that must be. I’m sure feeling down today is something everyone can understand and you being able to recognise those feelings in yourself and accept them sounds really healthy. Getting through it is awesome and please try to allow yourself to feel everything you need to and give yourself the time you need and not push too fast. Take care ❤️
That must be so tough. I'm so sorry you had to experience that. Take good care of yourself! ❤
I'm listening to the podcast now. In terms of ending session early, this is where being clear about the time allowance is crucial in the very beginning. I think for those who struggle with feeling like they're just "taking up space," suddenly being told that therapy time is up and to "go cry in the car," can really feel like punishment. Also, if the client is seriously upset, I think it would also be up to the therapist to make sure that their client is safe enough to be able to go home, or continue with the rest of their day. I know that for some of my really tough sessions, my therapist would follow up with a short phone session the next day (like 15 minutes or so), just as a check in.
Being able to set boundaries with time limits actually helps the patient try to get over their attachment issues instead of enabling them.
Hi Kati, I'm glad to be back. I've been gone about a month and a half. I was in the psych ward for 8 days and then I got referred to a residential facility and was there 24 days.
How are you doing since then?
This channel is underrated. I love this. I wish I could find a therapist like you in my real life. Huge fan here, I will be binging these vids in my spare time.
I watch your videos when I’m holding out hope of finding a therapist who I feel comfortable around. Thank you for being you!
Kati, thank you for being honest about when you're stressed, tired, etc. It is very freeing because it reminds me of the importance of being real to ourselves and to others. Thank you also for taking care of yourself and setting boundaries so you have the resources to care for others. You do amazing work! I'm a new listener, but I've been "binge listening" for several days and finding it very helpful. I finally took the first step toward finding a therapist yesterday, and thanks to you I feel much better prepared to begin the journey. Keep up the awesome work! ❤
Kati you are an absolutely amazing therapist. The advice you are giving here is outstanding. Thanks ao much.
My therapist lets me know when I get there when she can’t go over time. She spends a few extra minutes with me sometimes and it really means a lot. I have always struggled with low self worth and her spending the extra few minutes (only when she can) has really helped me start to realize that I do have worth and I am cared about. I do understand a therapist needing to set boundaries for themselves, especially with certain clients. But sometimes my therapist is the only person I feel I can trust and talk to. She does let me text her but I make sure I don’t let it get out of control and I’ve asked her to always let me know if I’m crossing any boundaries. Maybe we’re doing it wrong but it’s working for me. My ED after 24 years finally came to a stop. I’ve learned what it’s like for someone to really hold space and listen. We didn’t know it but we worked together over 4 hours away together at the same time, just different shifts so we never met each other. If we had met back then she probably wouldn’t be my therapist today so I’m happy it worked out the way it did.
After hearing how she addresses the trauma experienced by those who work with trauma I would like to hear her take on secondary trauma. I've worked in mental health for over forty years but of all of the different capacities that I have worked, the one area which I think has stood out was what I call a dysthymic offset of secondary trauma that I experience from working with survivors of domestic and sexual violence. I just can't seem to turn it off.
Happy thursday! Can't tell how much these have guided me through my days. They give me a lot of clarity and really give me strength ever day xoxo
I was laughing at your answer at the first question... 'Nope, seen it before' 'nope. Not the only one' and 'heard it before'. Including your facial expressings 😂😅
Thanks for taking the time for this video. We are all worth the work.
Hello people I'm just watching this podcast now iv been in hospital wasn't able to use phone much just want to share iv been very depressed and anxious for over a week my recovery at home, from hospital is slow and how I'm feeling iv missed and needed these kati podcast catching up now hope everyone in the kati community is doing best they can take care all
The first time my therapist brought out the "you're not alone" speech, my response was "so you're telling me i'm a basic b!tch?". It did work and I did feel better, we just shared a dry sense of humor.
14:12 I actually never felt right about going over on time. Most of the time I was not the last patient of the day and whenever the next patient arrives in the office we press a little button. This would cause a small red light to come on in the session room.
Correspondingly, I never became upset if the previous patient went over.
I just reminded myself to be grateful.
I feel like I have been pushing that time boundary lately with my therapist. I don’t think I do it consciously, but I’ve noticed occasionally that happens. I am always kind of thankful and appreciative that she enforced her boundary. She never comes across as harsh.
Hi,
once after a therapy session I was very agitated and restless. I was offered another session the same day and I gratefully accepted because I needed it to come down again in a safe space.
Since then I have not needed a double session although I was not always relaxed after the sessions.
I guess I have learned that I can calm myself down.
The thought that I am not alone in this despite the distance to my therapist has helped me a lot. As did her setting limits on the length of sessions and not reporting between sessions.
Lisa
When I was going to my grieving process my psychologist’s homework was to text her once a day saying what I did that day, listening this I’m not sure if Katy would approve of that but it really helped me to heal and get my life together a little bit and I’ll be always grateful for her.
Maybe is important to say that I don’t have abandonment issues and I was actually going more into self-isolation, and I’m also autistic so maybe with all of that would make it a good approach? Idk
I’m heartbroken for anyone who has been taking care of us during the pandemic that feels like they don’t deserve help for themselves. 💞
I took a break from you and your videos and all other social media you’re on because I was feeling too attached to watching you. Almost like my attachments i get but I never knew it would happen to someone online. So overwhelming! But here I am again. ☹️
I love your podcast! I've been listening to the 1st ones and planning to listen to all of them 😂
Happy Thrusday Kati ❤️
Woo!!! Love to hear that. There's a lot to get through. :)
This helped me so much. Thank you Kati!
Yay! I've been waiting for this! Idk why I didn't get a notification, so I'm glad I just searched it! Getting excited for next week since I pre-ordered your new book! Hope your week is great! Love and hugs 🤗 ❤
Thank you so much for answering my question!
You're welcome :)
So glad your feeling better Kati, and that your taking time for yourself ❤️❤️
I am question number 9. You asked about my parents insurance, the trick is that we don't have insurance. All that we have is a health share plan for catastrophic injuries and illnesses so mental health care would not be covered
The most important think a parent can offer a child is consistency. With CPTSD, the therapist takes that position, and the consistency, while initially painful, offers a powerfully dependable space, a surety of my ability to survive a hard feeling apart from you, and a surety of your continued existence when you're still there the next week. And even being the last client doesn't mean the therapist's life ends then, too. Maybe there's a family member expecting them home by 6.
Hello, I am starting to listen to your podcast, and really enjoy listing to them. I hope that I can ask some questions, and get involved. I am also excited to get your new book soon. I had alot of trauma in the past, and it helps to listen to your explanation.
What if we want to be able to explore suicidal ideation but not get sectioned for it? I have obsessive thoughts about suicide that I feel the need to explore because I don't know how to get past them. I'm feeling frustrated with therapy because I feel that
I will never be able to discuss the things that I really need to work through.
As a side note: I have been sectioned before when trying to explain my suicidal thoughts
Kati, in regards to question 2. What if the client has the opposite issue with boundaries? That being feeling like they're taking up too much time and more to the point not push boundaries but hold back, keep well away from them. I see my therapists boundaries as an electric fence and she sees mine as a brick wall.
Thank you.
Great analogy and I relate
57:30 Dissociation is just pleasant if you get the right kind. There's a reason people can get addicted to nitrous oxide and ketamine and dextromethorphan. If you can reliably get the comfortable kind of dissociation without putting yourself in danger, why wouldn't you want to invite it in?
How do we ask questions? Just ask it here, or is it through a hastag, or do you need to be a member?
I’m good Kati, love your shirt! 😍
That’s right that usually I’m fine is a reaction not a response
On the 1st qn - ending therapy while the client is upset - I just think that making it all about "consistency is good for the client" is not the full answer and I wish you would embrace that its actually good for the therapist too. It feels inauthentic trying to convince the client in a meltdown that its loving to send them away! Its not! But the therapeutic relationship is a business relationship and you can't be there for them like a loved one would. And that's a fact and it is painful! So you trying to convince the client its for their own good is only partly true, and in some cases it could even be gaslighting them! Would you leave your sister half way through crying telling her "this is best for you!"? I totally agree with the boundaries. I just wish you communicate more honestly to them about why they need to be there factoring the needs of all your clients and yourself and not dressing abandonment as "good for you". The time is up and now you have to go away. Its legitimate, this is the agreement, but don't gaslight clients that it is done for their own good. Its done so your practice can run smoothly and you can have a personal life! I wish therapists were brave enougj to admit that instead of gaslighting the client that the abandonment they experienced was false because you were doing what was best for them and for their best interest! No, their best interest would be for you to stay until they feel better - but you can't run a business that way. So when your clients confront you please be honest about that! There is a small benefit to the client learning boundaries but thats not what they needed!
Kati, you’re in Texas!? I’m in Texas! Oh my gosh, hii :)) I technically have a shot of ending up in your office? Lol.
"Im your last client, i could have stayed later "....😅😆 Guilty!
I have a transitional object! It’s a little angel that I keep at home, so that I know that there is someone out there who cares for me and that I can exist.
My dietician gave me a copy of her book (about listening to your body) when I wrapped up treatment due to moving away - she was my favourite person on my treatment team 😊 I didn't realise this was a thing that they did but apparently 10 years on I now understand what she was doing! 😂 💖
We need more people like you in Scotland 👊💯
Question #5 .. from the title I thought it was going to be something more run of the mill, like cheating which I think might be the most common really hurtful offense committed by ordinary people. But I understand the whole mandated reporter thing. On driving home after a session my wife would ask me to drive her to sessions. She would be nervous about going and often emotional leaving. The therapist thought I was just being a controlling jerk waiting for her in the waiting room. After a few sessions and one were she drove herself she (the therapist) began to see me in a more realistic light...
Do you really want to know how I am? I have to talk to my psych doc about different antidepressants next week because mine quit working. So not weird I know but I'm not excited about it.
I used to think I was the only one, ergo, nobody will ever understand me. Now I know I'm really one of a few million.
How beautiful was Kati’s response to Q10!! 🥺 (& spot on!!)
Consistency! Ha! YES> I'm better at keeping boundaries than my therapist is, and I hate it. One minute it's warm and overly accommodating, and the next it's professional which then feels really cold. It should have been professional the entire time! I wouldn't mind it at all, but there was an exception. One month I'm worth the exception and the next I'm not? I'm all about consistency and boundaries.
Tapping durning sessions help to regulate emotions. My therapist would never allow me to
Leave crying..
Mine went on vacation for 3 weeks and I felt lost and abandoned, "How am I going to cope for 3wks, how dare she". Iol All good
can i make a ask too? how that work? or it's for pre-selected ppl?
@@MrEpsilonZero thx
Dear Kati greetings 🌹
Happy to see you 💃 How are U?
Loving your new shirt 👚 gr8 color on U 🌸
What are your plans for now or future?Like are you going to open a private practice or be a therapist online? Or something else?
I think if what I'm having isn't technically drug induced hypomania, it's in the same family. I'm running on like 4.5 hours of sleep, and I feel emotionally pretty good and physically decent, when I ought to be miserable with this little sleep. My inflammation level is a bit high, but that's why we have aspirin and not being excessive with dietary carbohydrate. If I really invite in weirdness, my thoughts and vision get a bit strange, but I've been much closer to psychosis than this and gone back to normal with no difficulties. In summary, I think I'm doing remarkably well, and you'd probably disagree.
There's lots of people experimenting with sleep. Personally I used to go with 2-4h of sleep for several years when I was in my 20s. I went for my 50min morning run at 5am, then went to office to work, got home 5pm, did 1h of exercise and had coffee and worked some more until 11pm or even 3am. I'm certain there's genetic outliers in the population of people like us who can tolerate living with less sleep than others. Can't say if for me it was hypomania or what. Today I have kids, work and I sleep maybe 5-8h, sometimes less 🤣
Or, maybe you’re not communicating with your patient in the manner in which they can absorb/learn/accept. Too many years wasted with my therapist and finally I see an attorney who in one consultation tells me it sounds like I’ve been in a long term marriage with a narcissist. I had never heard that term, never. So, I go down that rabbit hole and soon discover that the attorney was spot on. It got a lot worse before it’s now better. Panic attacks gone, anxiety gone, isolation gone, therapist gone, attorney gone, Ex narc gone (with a protective order for assaulting me still in place). You do need boundaries with patients and visa versa, but don’t discount that you may be the problem.
Breeding, torturing and murdering animals for meat and making babies is shameful and should be outlawed.
Breeding is murder.
I think my question got skipped after getting a like from her. 😂 I shall try again next time
I think she’s planning to cover your question next week.
I'm going to warn you whoever you are. Not to put any trust in anyone doing work of any kind.if it's online!
@21:47 1 hour 40 min 😁
Hi
I noticed that one of the questions she selected isn't in Thursday's pop cast. It's the question that asks if the therapist can see if the patient is struggling. I think it got 100 plus likes. Would this question be in the next pop cast? Thanks! :)
I think it was covered last week:)
What do you do if Tony Soprano walks in your office?
Call Billy Crystal
Love the blouse!
Классный канал, от подачи не устаёшь
Very off topic but that is YOUR colour Kati 👚💗
If you won't accept fine than will you except chill?
Just a thought...for you,not me. Why do you always sit with your back to the corner..not just to A wall to a CORNER?
💜
I have ring as my transitional object. You can wear it all the time and no one will know🙃
I'm doing terrible.
The way to fix a dudes sexual fetish is to remove his internet from the home.
Trigger warning.
Not good lol.
Hmm, well everyone seems to think I’m out of my skull on this one.
My primary care provider put me on Prozac two years ago. But after two years she said she couldn’t write me for any more renewals unless I underwent an “annual physical.” The previous one having actually been from TWO years ago.
In the past, I have taken a medication such as Laimisil. One of the risks is liver damage, so after 30 days, you need to have a lab taken (a blood draw). Fine.
Fast forward to this “physical” and they actually presented me with a paper gown. I asked the assistant, “Am I supposed to put this on?”
She said, “Yes.”
Reluctantly, I did so. I mean, WHY? Whenever I’ve been in this office before, the doctor has always been able to listen to my heart and my lungs through the thin shirt I usually wear. 🫁
So, I just go ahead and take everything off except my underwear and put this paper gown on (which I can’t stand). I already feel vulnerable and even a bit humiliated. (“What I have to go through to get a dang prescription for Prozac filled,” I’m thinking.)
So the doctor comes in, checks my ears, nose and throat, etc. she then listens through the stethoscope to my lungs and heart. Fine. All well and dandy.
Next she has me lie down and proceeds to palpate my abdomen. OK, fine.
At a certain point now, she realizes I still have my underwear on and tells me to remove it. I really didn’t know what was happening at this point but since I needed to keep this prescription filled, I complied. She then goes on to perform a complete male genital and hernia exam.
OK. I didn’t ask for THIS! But OK. WRF? Let’s get this over with so I can get back to my life.
I would have brushed the whole thing off except later on her office kept calling me back for another visit to go over the results.
It’s only this second demand that caused me to go down the rabbit hole about this male physical.
Am I saying this _very_ attractive female doctor had any prurient desires or that this _full_ MALE exam was other than professional. Absolutely not.
BUT … I felt COERCED and MANIPULATED into giving consent, in which case, I argue that I didn’t really give consent.
What POSSIBLE relation is there between being prescribed Prozac and having one’s genitalia examined?
What if the doctor was a man and the patient a _very_ attractive female about 10 to 12 years younger? Doesn’t this seem problematic? To put the patient into a position of chemical dependence, and then coercing her into a vaginal exam, even if it’s “for her own good?” Doesn’t the PATIENT get to decide if something is “for their own good?”