how to tell if your therapist likes you This is a topic that many people are looking for. savegooglewave.com is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, savegooglewave.com would like to introduce to you What a Therapist Really Thinks ABOUT YOU! | Kati Morton. Following along are instructions in the video below:
Seems to be so much mysticism around therapists and therapy in general many people feeling feeling like therapists themselves are really elusive. And we dont really know what they theyre almost like the wizard of oz hiding behind a curtain. Pulling levers making things happen seems so secret and so magical.
But the truth about therapists. Obviously i am one were just regular people just like you we have good days. We have bad days.
Some of us are good at our jobs others really suck some of us work extremely long hours. And see a ton of patients others are very specific and only see a certain type of struggle in their patients either way todays video is all about what we think and what goes on behind the scenes. You seem to want to know so lets get into it there are so many new people on the channel welcome welcome welcome to the community make sure youre subscribed and you have your notifications turned on because i put out videos every monday and thursday and i dont want you to miss out.
But lets just jump into todays topic hip hop instrumental music. Now the first question that i want to address is what do we do between patients. Many of you have asked me this why is it a 50 minute hour instead of an hour long.
What is with that 10 minutes. Why do i pay for an hour and i only get 50 minutes. I hear that all the time and the truth about it is a we dont run like trains.
Were not always on schedule. People dont show up on time. We cant just you know lets say our appointments at 1 00.
At 1 50. I cant be like okay well thats it time to get out thats kind of rude. Its really hard sometimes were wrapping things up sometimes were talking about homework sometimes were trying to gather ourselves.
So that we can leave without crying in therapy. It doesnt just run on this strict schedule. So those 10 minutes gives us a little buffer to wrap things up take payment write.
The notes that we need to write maybe eat maybe pee because you know were human fill up our water get more coffee. I might also have to make a call to your psychiatrist or other treatment team members to keep them up to date on whats going on with you breathes deeply theres a lot to do in that 10 minutes. And frankly to be quite honest.
I never get it all done im always like ending sessions. Lets say im finishing all of my clients by like 6 00 pm. Theres always at least an hour afterwards.
Were im finishing up my notes. Making sure superbills are going out making sure calls are getting made emails returned et cetera because i dont have an office manager. Most therapists dont its just me so when im all done i have to catch up on all those things that didnt get done in those 10 minutes because trust me they go by like pew snaps fingers the second and most asked question is what do therapists really think during session.
And it kind of makes me laugh because i dont even know if even as a therapist. I know what my therapist is thinking because everyones gonna be different. But ill give you kind of a rough idea of whats going through our head session after session as im sure youve realized or i hope now youll realize we as therapists because were outside of a situation and were not emotionally involved in it we realize so many things way before our patients.
Do you know that shitty relationship. Youre in that you just cant figure out why it doesnt work we probably already know weve realized it we also hate that relationship wish youd get out of it and try to help you find your way. There we may also recognize the hey.
The way that youre responding. Seems a lot like your mom. And thats tied into the fact that your dad was this way.
And then your uncle did this we see a lot of that way before you do and what that really means is and this is why i actually love being a therapist is instead of getting frustrated. Because a bad therapist would get frustrated and they would try to push you to that objective or to that realization more quickly than youre ready. But a good therapist.
And what i hope i am is a good therapist is were kind of patient with it and i see it kind of like im a detective or and this sounds really weird to say it this way. But maybe im like the criminal and im leaving clues behind so that you can find all the evidence you need to guide you back to what i already know and what ive figured out and of course. Youre gonna do that at your own time.
So. Its kind of up to me to make sure that im leaving all the proper evidence to get you there. But yeah.
We realize a lot of stuff way ahead of time and were just kind of waiting for you to catch up we also notice everything do you make eye contact. Do you do you struggle to make eye contact. Do you fidget a lot do you pick at your nails.
Do you flap your foot around. Do you like to lay on the couch 6and put your hand over your face do you like to sit on the very edge of your seat. I used to have this client that i can almost guarantee that in the two years.
I saw her her back never touched the back of my couch. She had an anxiety disorder. So it was very obvious.
But we have to notice all of that we have to notice all the fidgets all the things that happen so that a i can tell if my diagnosis is really correct b. If you struggle with dissociation. I can know when youre going there and when thats happening and c.
I can also make sure the treatment that youre getting lets say youre on medication. As well is it working are the behavioral techniques that im giving you making things better are the fidgets and the urge to move all the time is that stuff going away. It can really help for me to pay attention.
So really. And i think shawn also says this to me a lot id make a great detective. Maybe thats why i like all those analogies.
But its really helpful for me to pay attention. So know that whether you like it or not your therapist is noticing everything moving on to the third question about what therapists really do is what the heck do you write in all of those notes. The truth is and ive talked about this a little bit in other videos.
Its not very exciting stuff. The first is diagnosis stuff. What are the symptoms.
What are kind of the things that were noticing. The behavioral things are they fidgeting do they move a lot do they struggle to make eye contact did they dissociate. What is it all of that has to be documented thats usually done in our intake form where were noting what brought you in what symptoms youre feeling and all of that but throughout our notes.
Our progress notes with you each and every session. There will be things noted in there about your diagnosis to honestly make sure. Its correct the next thing.
That goes in our notes is logistical stuff medication when was your last appointment with your psychiatrist. What medications are you on how much how often are you liking. It et.
Cetera. The next is you know when did you see your doctor last did we get the bloodwork from that did everything look really good are we following up did we make calls to them what about your weight. I see a lot of eating disorder.
Patients. So i have to weigh them regularly i check in with their dietician and we see if the weight is the same because people try to be sneaky and make themselves weigh more as a way to say theyre getting better when theyre really not but we catch you so all of thats really important i have to take note of that so that i can kind of track it through our treatment and make sure that all of our goals and all of the you know tools and tips and tricks. Im offering for you are actually helpful and in line with where youre at on that same line then runs into homework.
What are some of the things that were working on have they been completed or not were you able to or not are you committed to treatment or not a lot of that goes into our notes. Because i have to know what im following up on in between sessions. I dont even think i mentioned.
This is that i read the last you know maybe one or two session notes like all the progress notes. I took so that i make sure i remember where we were at what we were talking about and what homework you had because i need to follow up on it to make sure that its getting done. And that its appropriate also as a cbt and dbt based therapist.
I have a lot of treatment plans going on so in there are those treatment plans and i like to think of them as living breathing documents meaning. They change all the time so i may have a sheet on one side of my file. I always have those you know files that open pew and on this side would be a treatment plan and i just mark on it as of the date.
Were doing this instead done with that check in that box. And im working along so i have to keep up with where were at and working towards the goals that you and i have discussed to make sure that youre really getting out of therapy. What you need to get out of it overall notes are extremely dry.
Theyre not written like a story you cant follow along and feel like you know somebody. Its more something that we do legally and ethically to make sure that youre getting the proper care and that were doing all the things were supposed to do i dont recommend as you remember ive said this before i dont recommend getting all of your files and reading them through it can be really upsetting really. Triggering and also it can feel like a lot is left out because it is we cant write everything down.
Its mainly just logistical stuff like i said the medication. And what symptoms are you showing how are you doing did you do your homework. Whats your weight are you feeling better hows the treatment plan.
Its very you know kind of bullet pointed so overall. The main reason notes even exist and the main reason we keep these is for legal and ethical purposes. As well as to make it easier for you to transition to other treatment programs or to get referrals to other professionals as needed and the fourth question that many of you wanted me to talk about is do we think about our patients in between sessions and id be lying if i said no were humans too we care about you i didnt spend all this time in school.
And all that time gathering hours not to mention stressing over the licensing exam. And then continuing to learn about what i want to do each and every year. So that i can continue to be licensed just for shits and giggles.
I did it because i care about people and when i take a client on i do it because i feel that i can help them. And i think together we can work towards their goals so overall of course. Im gonna think about my clients in between sessions.
Because im looking for new ways to help them i want you to do well i want you to feel better. I want you to get better in the quickest and easiest way possible so if im at a different conference. Lets say learning about something and something pops up that i think could help my client of course.
Theyre gonna be in the back of my mind. Always if im reading a book. And its a tip thats helpful to me personally.
And i think oh i could probably apply that to so and so that might really help or even. If im watching a tv show and i see someone doing something. And i think oh they could do that so of course.
Itd be a lie to say that we dont think about patients in between sessions. But that isnt to say that were available all the time and i know that this seems like a strange transition. But boundaries are so important if you see a therapist who lets you call and text them and email them all the time.
And theres no boundaries. Theres no talk about whats appropriate and whats not its not okay therapists are taught so much in school to be very protective of that boundary to keep you safe and to keep us safe the reason it keeps you safe is it keeps the relationship therapeutic. If we get too close it changes.
The dynamic and it becomes like a friendship. Which isnt actually as helpful because as you know if youve been in therapy for any length of time there are gonna be times. When the therapist has to push you a little and give a little bit of that tough love and in a friendship.
It doesnt really workout and on the therapist side it protects us boundaries are important because it keeps us from burning out overall. Just know that therapists are people too just like you the only difference is that you come to see us and we are trained to help you and guide you through things so know that everything that goes on between sessions and our mind during sessions. If were good at our job.
And if were invested should be all about helping you all about moving you towards your goals in the best way possible just make sure that you like your therapist. You feel connected to them. And you know that theyre on your side.
And thats truly when the magic and mysticism of therapy can take place. I hope you found this video helpful. This was actually really fun to think about it took me a while to put the video together because its just something that i hadnt honestly thought of but let me know in the comments.
What are other things you want me to talk about are there other subjects you want to know what a therapist. Thinks or what we do or how it works let me know and i will see you next time bye. .
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