Thoughts on good therapy

perfectcoma:

realsocialskills:

[…]

Followers with OCD: Are there things that you would advise someone who wants to find a good therapist to look for? Are there red flags you would advise them to watch out for? How do you tell the difference between abuse and legitimate uses of invalidation?

perfectcoma said:

Hi! I’ve had OCD for 11 years. I also have Asperger’s Syndrome, however, so my communication style and preferences may be somewhat different from a neurotypical person with OCD.

Particularly terrible therapy experiences I’ve had:

  • The guy who wouldn’t work with me at all until I admitted that I wanted to get better. Of course I didn’t want to get better, I was in the grip of immense self-hatred and believed at the time I deserved everything I was going through and more. If he’d started working with me I’m sure I would have reached a point where I was able to say that and mean it, but I’m stubborn so I refused to lie just to move on with therapy.
  • The woman who took an angry and confrontational tone and made me feel like I was wasting her time by not being an easier patient to treat.

This isn’t a personal experience, but something I’d also be wary of is:

  • Anyone whose awareness of OCD is limited to the stereotypical physical compulsions of tidying, arranging, counting and cleaning. Not that these aren’t part of OCD and terrible things to deal with, but OCD can manifest in an incredibly broad variety of ways and this may be a sign that your therapist will be unwilling to accept your particular struggles as ‘proper’ OCD.