How to Open Up in Therapy: Finding Courage to Share & Heal

Ask Kati Anything

This week licensed therapist, Kati Morton talks about therapy and how to get comfortable sharing with our therapist. She also discusses honesty in therapy, its importance, and how we can find the courage to share what we are going through. She then explains how to know when we need to see a therapist versus talking to our friends and family, and finally she digs into therapy ending, why it would happen and how we can cope with it. Ask Kati Anything ep. 240 | Your mental health podcast, with Kati Morton, LMFT Audience questions: 1. Hi Kati, what can therapists do to try to help their patients get comfortable enough to share about traumas they have never verbalized before to anyone (even themselves)? What tips do you have for therapists and what tips do you have for patients in that situation? 01:01 2. Do you have any advice for someone who is trying to open up/be honest in therapy but genuinely doesn’t know how to say it? 10:45 3. I hope all is well with you. When should we seek support from a friend or family member as opposed to a therapist? I've had a couple of relevant diagnoses. First, I'm autistic, so understanding relationships can already be difficult. Second, I've been treated for borderline PD in the past. I mention this because when I'm in distress, it's often due to feeling abandoned because I haven't heard from my friends in a few days (or even a few hours). It feels inappropriate to reach out when the reason I'm feeling bad is that they've chosen not to reply yet... 12:26 4. How do I find the courage to talk about my OCD intrusive thoughts? The ones that make you question if you’re really a good person or not. I’m really struggling and I want to talk about them but I’m so worried that once she learns about them she’ll see me differently whether she shows it or not. 18:14 5. Hello! I’m currently in Appalachia which is an area most impacted by hurricane Helene. While I and my family are safe with minimal damage, so many people I love have lost so much or even everything. I’ve been in therapy for two years and have made significant progress, but with the recent tragedy, I feel as though I’m back at the beginning of processing trauma. I fear my therapist is going to decide I’m no longer worth the trouble because I’ve backtracked, and I’m afraid sharing that fear will only open the door for her to decide to share that she doesn’t think she’s helping me and we need to stop. For context, I have CPTSD and suffered some pretty significant emotional abuse and neglect as a child. I have a lot of fear of people leaving and often feel as though I’m... 20:40 6. How do I cope with my therapist eventually having to leave me when therapy ends? I feel like there is no way for it to happen without me being retraumatized. It makes me think there is literally no point to any of therapy. I’d rather have not gotten close to my therapist at all and I feel even more skeptical about getting close to other people now. I know there really isn’t a good answer. Living just means constant loss. My mother died when I was a baby My dad didn’t want me. I was taken in by family members and sexually abused throughout my whole childhood by their son. My single best friend of years moved away without a word. My sister moved away. Being born was a joke. Maybe this isn’t really a question. 25:50

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