How Can I Learn to Open Up to My Therapist?

How do I open up to a therapist? I'm on my fourth therapist in about three years, and I have a terrible time talking to them about myself. I can't even bring up the boring, inconsequential things in my life without a lot of anxiety. It doesn't seem to matter whether the therapist is male, female, young, or old. People always tell me that therapists are not likely to judge me; they can't reject me like a friend would; I'm paying for these sessions, so I should get my money's worth by spilling my guts. I know all that is true, but I just can't get over the fact that I'm telling this stranger really intimate stuff about my past. I was with my first therapist for over two years before I started to tell him about trauma in my past, even though I knew it was a huge factor in my mental health issues. And what's strange is that I don't have a problem opening up to friends. I don't think I have trust issues, because I tend to be much more open with friends than with therapists. The problem is that my friends don't have PhDs or a license to give me advice, which is really what I need. So my friends get frustrated because they can't help, and I get frustrated because I'm not actually any closer to getting rid of anxiety and depression. How can I overcome my fears about talking to therapists so I can start working on my issues? —Going Nowhere
Dear Going Nowhere,

First, let me applaud your courage in seeking out therapy and for reaching out to GoodTherapy.org with your question. It is no small thing to acknowledge that one needs help, so bravo to you for taking those steps.

Your question of how to open up to a therapist is quite common. Many people feel overwhelmed at the possibility of sharing their deepest, darkest secrets and pain with a virtual stranger. It seems especially frustrating when you are paying for the services but still can’t seem to open up. However, this is perfectly normal, and many people find themselves in that position. 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. There are many reasons for people not opening up in therapy, so I will give you some ideas on how to get things going.

If you’ve ever heard the saying, “If something scares you, you must do it immediately,” this will sound familiar. You have to build trust with your therapist AND with yourself—with your therapist, you need to know that he or she has the capacity to hold whatever pain you might share, and you need to know that you can handle sharing your past without falling apart, losing control, or being overtaken. The best way to do this is by taking small steps. First, I suggest talking with your therapist specifically about your inability to open up. This type of honest conversation can be a bridge to building trust in other areas. Second, after having that conversation, intentionally decide to take risks and share honestly in your therapy sessions. Even if you don’t want to share the trauma of the past, you can say, “I’m really anxious because I want to share, but I’m afraid of …” Simply naming the anxiety when it appears can help clear the way through it.

Finally, many people are concerned that the therapist will judge them when they share openly. While I can’t say that there aren’t therapists who judge, they are firmly in the minority. Therapists generally hold a genuine space of empathy and high regard for the people they work with, knowing that each individual has had a unique “pain journey” and that seeking help is not a sign of weakness, but rather of deep strength. Your therapist is a stranger only as long as you keep him or her that way. By taking small risks and building trust, you will deepen your relationship with your therapist, which will help your therapy progress.

You can make this therapeutic experience what you want it to be by taking ownership for how it has gone and making active choices in how to handle it going forward. I believe that you want this to work, and I believe that it will because you are willing to work. Best wishes in your journey!

Sincerely,
Lisa

Lisa Vallejos, PhD, LPC, specializes in existential psychology. Her primary focus is helping people to be more present in their lives, more engaged with their existence, and to face the world with courage. Lisa began her career in the mental health field working in residential treatment, community mental health centers, and with adjudicated individuals before moving into private practice. She is in the process of finishing a PhD as well as advanced training in existential-humanistic psychotherapy, and provides clinical training and supervision.
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  • Jada

    December 19th, 2014 at 11:57 AM

    Maybe you just aren’t ready for developing the level of trust that you need in order to feel comfortable enough with someone to open up to them about things like this.
    I know that the first time I saw my therapist, and really the first few times I guess, I was so nervous because I had it in my head that he was judging me for every little thing that I said.
    I had to get past that, understand that I was going for me and that he was there to help me, not shame me.
    It can be hard, I get that, but once you find that level of comfort with someone and you recognize how much good this is doing, I think that you will come to love your talks and you will start to get so much more out of them.

  • Reggie J

    December 19th, 2014 at 1:12 PM

    First, you’re to be commended for your continued attempts to get involved in therapy. Maybe trying to think about how your life will be different when you find a good fit in a therapist,may be a good starting point. Using that information may help alleviate negative self talk when experiencing anxiety.

  • stella

    December 21st, 2014 at 1:57 PM

    From my point of view I am not that sure that it is about you getting to where you can open up to them or it is more about you have to become comfortable with the fact that you are in therapy period. Some people struggle with that to begin with, and so it will be hard to give it 100% if you are still worried about how others will perceive the process. Not that you should worry about them at all, you should only be thinking about you and your own process of healing but I know that that can be tough.

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