tatterdemalionamberite:

neurodiversitysci:

fierceawakening:

star-anise:

God fucking bless the “worried well” who seek psychotherapy. They can mostly keep their lives/jobs/families running, but want an increase in their mood or quality of life, and come to me for a tune-up. They talk about existential questions and childhood dreams and personal fulfillment, and worry that they’re “whining” or “taking up [my] valuable time.”

I like them for them, of course; I find their lives and worries interesting and valuable, and enjoy the work we do together. But also?

They make the more “serious” work I do possible. People with the greatest need for therapy are frequently the least able to pay for it. When one of my clients loses their job and benefits, they need therapy more, not less. And in private practice I can only afford to keep treating them for free if I have enough people on my caseload who are paying me full price. My ability to volunteer at a homeless shelter and talk to them about grief and trauma is strongly dictated by how many upper-middle-class people pay me $200 an hour to talk about optimal job performance.

And emotionally, it is an honest fucking joy sometimes to get out of a session with someone whose childhood abuse makes their entire life difficult, and spend an hour talking to one of my worried writer clients about anxiety management and creativity and nothing too deeply painful.

So if you’ve ever paid a therapist but felt self-indulgent or whiny or like your problems “weren’t serious enough”: please know you’re valuable and important. Not just for yourself (though you are), but because your presence in that therapy room makes a lot of other things possible.

i was tense because as someone who has trauma in her history but looks to a lot of people like “worried well” (to the point it took me years to be properly diagnosed with PTSD, ugh) i expected bashing from this post

THANK YOU for doing a very different thing ❤

I mean, once upon a time the worried well had confession with priests, or village elders/wise old men and women, or shamans/people in touch with the spirit world to listen to them and advise them on how to lead a happier, wiser life. Now that we’re a secular society that treats shamanism etc. as superstition, and locks old people away? All the worried well have is self help books, psychotherapy, people they know in person who are probably no wiser than they are, and talking to people on Tumblr. Of all these options, psychotherapy seems the most likely to actually help. Going to psychotherapy when you’re not severely mentally ill fills an important need that society isn’t otherwise filling, so it’s not shameful to go.

Also, the boundary between “worried well” and mentally ill/traumatized can be blurry sometimes. At one point I was in therapy for severe depression. But now, with my lower grade trauma, social anxiety, excessive shame, and just Needing Someone To Talk To In Order to Deal With Emotional Stuff And Reflect in General? That’s “worried well” compared to a lot of people here on Tumblr.

A related idea (which I’ve had before) is that if you do have a serious trauma, you’re wasting your/the therapist’s time if you aren’t talking about the most traumatic thing possible every single moment of therapy. But sometimes you’re not ready to go there, and that’s okay. Sometimes, your work or family need you to focus on more minor problems, like anxiety management or writer’s block. And getting unstuck on something like that can make you feel so much better about yourself, and more capable of change in general. I would think that could only help you deal with the serious trauma.

Thank you for writing this, @star-anise.

*cheerful neurodivergent yelling* Curb-cutter effect! Curb-cutter effect!! CURB!! CUTTER!! EFFECT!!