Therapy is usually helpful, but sometimes it can be traumatic

I haven’t written about this before because a) I wasn’t ready yet, and b) I don’t want to scare anyone away from therapy. For years, I have been a staunch advocate for therapy and its healing power. Part of me is still this advocate. I still believe everyone should go to therapy at some point in their lives. It can help with both severe mental illness and “smaller” life matters. And on the other hand, I also now know that therapy itself can be traumatic.

Two and a half years ago, my therapist essentially quit overnight. She had been my therapist through most of college, helping me through some of the hardest years of my life. She helped me get out of that deep depression and reclaim my life from borderline personality disorder (BPD). Then I graduated, and we went our separate ways. Incidentally, we both happened to move to Illinois. So, when a few years later I was struggling to find a therapist I connected with, I reconnected with her. I even paid out of pocket. She wasn’t in network with my insurance, but that’s how much I valued our already established relationship. We met every other week over Zoom, since she was two hours away in Chicago. I was overall doing really well, and this was mostly just for maintenance of my mental health.

One week, I was scheduled to take the train into Chicago to see a new ob/gyn, so we scheduled my therapy session that week in person as well. Despite our Zoom therapy, I hadn’t seen her in person in four years. It felt like a grand reunion. I was giddy with excitement and so proud of the progress I had continued to make. As I was boarding the train the night before, I received an email from the therapy practice that my therapist was taking a leave of absence. By morning, I received another email that she wasn’t coming back.

I cried a lot on that train ride. I’ve cried a lot about it since. I was left feeling confused, concerned, betrayed, and most of all, abandoned. Several weeks later, per my request, I was able to schedule a phone call with my therapist to try to get some clarity and closure, but it didn’t really provide that. And that was after several bounced emails, since she had left the practice, and they disabled that email for her. Most of my communication went through the practice owner, whom I had never had a conversation with before this string of events.

To say this experience was traumatic is perhaps an understatement. It’s been over two years, and I still haven’t been able to go back to therapy. And trust me, I have tried. I’ve reached out to dozens of new therapists, attended several first appointments, and almost always left sobbing, sometimes after only twenty minutes. Every few months, I try again, and every few months, I discover that I’m not ready yet. I have lost a great deal of trust in the therapeutic relationship.

A few weeks ago, I worked up the courage to try yet again. Just scrolling through Psychology Today makes me sweat. Emailing new therapists makes my heart race. And that first appointment? If we get there, I’m bound to start shaking. My nerves are hypersensitive to any missteps that could mean another loss. I’m very quickly angered by any perceived miscommunication. I find myself tearful at the thought of going to yet another first appointment.

The irony is that therapy could probably help me work through this trauma. Yet, therapy itself is a trigger to my trauma response. It’s a classic catch-22. I do feel more ready to try therapy again than I did two years ago, but I don’t know if I’ll ever feel fully trusting of that relationship again.

Therapy can be so helpful. I have seen those benefits for myself and many others. Mostly, I just want to also acknowledge that therapy can be traumatic too. If it has been for you, you are not alone.

Morgan


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2 comments

  1. Hi Morgan,

    I came across your blog via GoodReads and just wanted to thank you for writing this post and to say that I can resonate with what you write here. I have sought therapy at various points in my life too, and I am lucky to say that I’ve worked with some really wonderful, caring therapists. They truly practiced therapy in a way that was supportive and ethical.

    I have also experienced what it’s like to be really vulnerable and feel like a therapist did not fully practice with duty of care in mind. What happened to me is not the same as what you went through, but I can really resonate with the confusion, anxiety, sense of abandonment or disappointment you may have felt.

    Relationships are tough, and therapy is ultimately a relationship too. At times, for some people, a therapeutic relationship can be one of the most private, genuine and trusting relationships a person has (even the only personal connection where that person can let themselves be truly vulnerable). It can be someone first experience with really relying on someone and saying, “I will let you see who I am, and I will let myself trust you.”

    So to be suddenly cut off from that can be really hurtful. I’m really sorry to read what happened to you. I hope you can find a way to safely and gradually let yourself try therapy again in the future. When that will be, is something only you can feel and decide upon. I just hope you give yourself that opportunity, if and when you feel ready. You deserve it.

    And in the meantime… Thank you for writing about your experience, so others can read and reflect on their own ambivalence towards therapy and, hopefully, work through their ambivalence and fear in their own way, too. It takes so much courage to articulate what you’ve written about here. So thank you. And may you be well.

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