Help! I’m Afraid to Talk to My Therapist about Self-Injury
Dear Holding Back,
You are feeling frightened and ashamed to talk to your counselor about your problems with self-injury and other “bad habits.” You might worry that your counselor will feel critical or think less of you, even though you know that it is an unlikely reaction to occur to a trained therapist. You know that you must discuss your worries and problems in order for the therapy to work. This is the hardest part of therapy—and the best part, too—because here is where you learn and develop yourself more than almost anywhere else. I have some thoughts and suggestions that might help you out.
You write that you’ve been meeting with your counselor since September. The first part of therapy usually has to do with developing a relationship of deep trust, and that takes time, as it should. Even though you understand that your counselor is experienced and qualified, you are still getting acquainted and learning to have faith in yourselves and in each other, too. So your first step is to have patience and let the treatment develop.
It’s also important to understand what a good therapist does. A good therapist has compassion for the parts of you that are destructive, the parts you’re most ashamed of, and can help you see that those parts are protective and well-intentioned—even when it doesn’t feel like it, even when the strategies behind them produce unwanted behaviors and harm.
Sometimes, before we are able to talk about what we fear, we have to learn ways to handle feeling afraid. Your counselor might be able to help you become less blown about by the winds of your powerful emotions and more able to navigate your feelings and use that feeling energy for your well-being. Right now it sounds as if you are being controlled by gale-force winds of feelings—at their mercy, really, with little ability to grab the rudder and set out for a particular direction of your choice.
The first part of therapy usually has to do with developing a relationship of deep trust, and that takes time, as it should.
You write that you “can’t find the words to start the conversation.” I think that when you are ready for the discussion the words will come—it sounds to me like you have them already. In the meantime, maybe you don’t need words anyway.
“How can I not need words?” you might ask.
Maybe at this point in your treatment, words are less important than simply being comfortable with the person who will help you learn how to live with your strong feelings. Could you ask the counselor if he or she might know some methods for calming the self, centering the self, soothing the self? Breathwork, for example, is one way to calm down, but there are other ways that you might know of already, and with a little encouragement, you can use them.
These are important issues about caring for yourself. An important part of therapy is learning how to care for yourself. Maybe you could ask for help in self-care, then later get to know who you really are, deep down. Therapy is an exploration, done with a guide who will walk the deep walk with you and protect you in your journey. Feeling safe and good self-care come first.
Eventually you will feel safe enough to speak up and communicate your fears and needs more directly. Even now I think you are beginning. Soon you might tell your counselor that you are afraid, that you have a secret and you’re afraid to say what it is. That’s the truth, and the truth is a good place to start.
Sincerely,
Lynn
Lynn Somerstein
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Charla
March 27th, 2015 at 10:35 AMEven if there is no one else that you feel comfortable talking to about this, this should eb the one safe place that you can go and let these feelings out. This is someone who is not going to judge you for those actions, but will only help you come up with some solutions as to how to make these problems better. I know that this can feel very intimidating, but this is someone who hopefully only has your best interests at heart, and so try to open up and see that you can get some resolution to your issues that you are going through. I think that you will feel such a weight lifted off of you if you decide to let someone else in and help with that pain.
Kathleen F
March 27th, 2015 at 3:59 PMI can really relate to your comment Charla as I have two wonderful therapists and although I’ve talked about suicidal ideation and self harm before I have had more intense thoughts lately; almost at peace with making a decision to not live. I am reluctant to talk about it not because of trust but because I’m reluctant to want anyone to talk me out of it and with self harm it was the same thing. I was afraid of stopping the behavior because it was my “go to” thing that I did when my feelings were most intense; didn’t wanna give it up! I recommend talking to your therapist because it will always be a barrier to getting better if you don’t…good luck…
Piper
March 28th, 2015 at 11:21 AMPlease I hope that you can find someone that you feel safe and comfortable with. Most of the time this is not something that we can go through and manage on our own without some help.
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