this might be more vent-ish and long winded than i intended it to be so i might eventually delete but i desperately need to get it off my chest somewhere and to people who might Get It ?
general cw for topics of mental health and suicide (i’m not sure what else to tag specifically!)
i previously saw the same therapist for 2 years straight and i’ve been bouncing around different ones ever since. i’m on my fourth one since then and it’s probably been the worst experience i’ve had with a therapist yet.
i’m bipolar 2 with adhd, and our latest appointment was the last straw. i was hypomanic this time, but very low and suicidal in the last appointment, which prompted her to oh-so-kindly tell me “thank god you’re feeling better, if you were still suicidal i’m not sure i would be able to keep you as a client because its not something i can deal with.” this was a therapist who advertised herself as specializing in bipolar.
i absolutely should not have done this in hindsight but i couldn’t keep my mouth shut at the time because, well, hypomania and impulsivity and whatnot, but later on in the session i mentioned that i was worried about immigrants in the US and mass deportations and Evil and Doom and that a lot of my friends were scared too. my therapist replied with, word for word, “well, if you and your friends aren’t illegals there’s nothing to worry about right?” i was so dumbfounded i just did not answer for a good 10 seconds and then changed the subject. there was nothing to say. i felt genuinely sick afterwards. i guess it was on me for bringing it up to someone whose opinions i wasn’t familiar with, but when would anyone be familiar with their therapist’s political opinions ??? isn’t that an ethical boundary or something
TLDR needless to say i am once again looking for a new provider. i’ve tried pretty much every website for finding people in my area. i dont like online stuff/zoom meetings so that severely narrows my options. i guess i’d like to know what sort of questions i should be asking people? to narrow out the Weird and Offputting providers if there’s even a way to do that? i don’t know. im just tired bros. any input on how to make things not suck would be appreciated because im just so disillusioned with the whole Mental Health System at this point. thanks for reading this far.
Your therapist sucks in multiple ways. I’m sorry. A good therapist doesn’t see people as “legal/illegal.”
Also, long response incoming. Sorry.
I think you need to ask questions about the therapist’s experience and comfort level. A lot of people claim to “specialize” in something but they never really experienced it. It would help you to find someone with experience working somewhere like drug and alcohol rehab, community mental health (the word “intensive” should be in there somewhere, like “children’s intensive services” or whatever), a mental hospital, and/or with inmates or parolees.
I say those things not because I think you necessarily fit in with those populations, but because a therapist with experience with individual and group therapy in those settings is going to be experienced with nearly every combination of disorders and situations.
Edit: a good question to get the above information is to ask the therapist where/how they earned their hours while an associate/intern. A lot of schools send people to community based programs like the stuff I mentioned above. If they did earn their hours at a place for underprivileged people, ask about their experience. If they act like they’re so grateful to be out, make a note. If they earned their hours in private practice (working under a therapist in private practice vs an agency) they likely don’t have experience with jack shit.
In other words, you need someone who isn’t scared. Ask them if they’ve ever hospitalized anyone. Find out their policy on doing so. You need someone experienced with assessing for plan, means, and intent without being trigger happy at first mention of suicide. Clients are much better off being able to voice their thoughts without fear that the therapist can’t handle it and without fear that mere mention of suicidal ideation gets a psych team called. You want someone who can navigate that situation so you can decide together how to keep you safe and alive.
Clearly, it might also help to ask their opinions on ICE and/or Palestine, though I get why you wouldn’t. Someone who cares about people would be rightly horrified by the current situations, and you deserve a therapist who cares about people.
The number one determining factor in whether therapy works is if the client can trust the therapist. It’s not the therapist’s orientation, education, etc., it’s trust. Ask questions as if you’re trying to determine if they’re the kind of person you can trust.