can i tell my therapist about violent thoughts

Violent thoughts are most common in those with obsessive compulsive disorder, … They may tell you to visualize a big, red stop sign every time you have an unwanted thought enter your brain or even recommend that you shout the word “STOP” when an unwanted thought pops up. Any advice would help. I have seen 3 different therapists and psychiatrists to verify my initial diagnosis, as i was, and am, in denial that i have a personality disorder. According to the American Psychiatric Association, suicide is the 10 th leading cause of death in the US, claiming tens of thousands of lives each year. Therapists have a legal and ethical duty to NOT repeat what you say. “Therapy should offer a safe space to express your non-violent emotions, and to find support and coping mechanisms,” says Dr. Indra Cidambi, MD, clinical psychologist, and medical director/founder of Center for Network Therapy. The only thing you can think of in that moment is violence. Put your pinkie in the pencil sharpener. I don’t know what to do. 2. 3. Suppressing them can lead to increasing levels of mental distress and unhealthy coping behaviours in the long run. Hi Sam, I’ve been having some disturbing, awful thoughts that I just feel so hopeless about. 9. The point is to re-teach the brain that it is capable of being in the presence of these thoughts without needing to know for certain what the outcome will be. I also can’t tell my parents or sister about it because they won’t understand. I am anti-social with my therapist, and tend to give her the silent treatment all the time when our conversation heads towards the topic of suicide. I don't think this is about my therapist...I think it's a great fit and more than anything, I trust him. The first session is a “get to know you” session. You don’t have to tell your therapist about the details, but it might feel good to get it off your chest. A therapist can help to identify the causes of your paranoia and give medical advice on some ways that you can treat your paranoia as well. Build on your strengths, grow in your challenge areas and improve your life! I think you have to tell them everything. They're simply thoughts - the same types of thoughts that most people have and forget. Remember – thoughts are not reality. Intrusive thoughts are things that by their very nature we do not want to do, and we are scared and upset and want them to go away. State law can, however, allow the therapist to warn but prevent him or her from testifying at any eventual trial. I am a psychologist (albeit with PTSD). I am inclined to agree with you that you are experiencing "compulsive thoughts" better know as "obsessions." Any exceptions to that rule are determined by law. There's also trauma-focused therapy where a therapist is a specialist in trauma and can help a client heal because of their expertise in trauma. “I get thoughts/impulses like ‘pour the hot water on yourself’ when pouring the water from the kettle to make tea, or ‘put your hand in the flame. My OCD involves violent intrusive thoughts that I do not want to act upon in any way, but they reoccur in my brain more than they should, the compulsive behaviors that I experience as a result are counting/touching things a number of times or until they are just right. Anger brings out that violent p a rt of you that you never thought existed. This form of treatment is when a trauma therapist helps a client think of a painful memory and work through it using eye movements. Staple your hand. I dont act out on … The thought is bothersome. I'm not saying it's easy. Stick a fork in the electric socket.’ I could go on forever.” 11. There's no point otherwise. Even if you “know” you wouldn’t act on it, your therapist can help you navigate feelings of sadness, helplessness, pain, and depression when all you feel like doing is laying down and dying. If you don’t tell us what’s going on, we can’t help. It can even include admissions of criminal liability: In several jurisdictions, a therapist cannot report someone who confesses to a crime . As recent news accounts of violence against people like Dominique "Rem'Mie" Fells, Breonna Taylor and George Floyd swept the nation, I started to experience these anxiety symptoms, and I reached out to my therapist for help. Thank you for this, it helps me know what my therapist is usually thinking. 8. I haven’t told my therapist, though, because I’m so ashamed of them. The sooner you’re able to prove that to yourself, the easier it will be to heal. For assistance in moving past harm-related OCD thoughts, contact a mental health professional trained in cognitive-behavioral therapy (CBT) or pharmacotherapies, or both. The actual exposure itself is very straightforward. How impossible it can feel to squeeze in a visit in your already hectic schedule. And because I have to internalize it and don't tell anyone, the panic gets worse every time these thoughts cross my mind. As the client, the counsellor/therapist's role is to help provide insight into feelings, emotions or problems you have identified. Don’t discard and neglect how you feel just because you think you don’t have a valid rational argument. Whether you connect with your alters is largely up to you, not your counselor/therapist. When you first came to meet the counselor they should have covered the rules and the limits of confidentiality. Look, if you want my help, you're gonna have to be completely open with me. Sometimes it involves stepping, blinking, or walking a certain way. Many therapists have a set of go-to phrases they’ll … The therapist after 8 sessions of mainly speaking to my very … They can't do there job if they only have half the information. And the truth is that I indeed can't tell you for certain that I'm right about you personally. Identifying intrusive thoughts. You are going to get better. Your therapist has no way of knowing how you felt in a situation unless you tell them. If you’re not sharing how you felt in a situation because you aren’t clear on it yourself, that’s normal too. It’s okay to share an experience with your therapist and let them know that you’re unsure how to feel about it. 3. We know how difficult it can be to get a face-to-face therapy appointment these days. I am a 14 year old dealing with suicidal thoughts, and I also have bulimia. My first session was challenging because talking about all these thoughts and feelings made them seem more real and I didn’t what to give them recognition, but I learnt from my therapist that it wasn’t recognition that I was giving them, me talking about it was fighting the intrusive thoughts. Intrusive thoughts can be unexpected and upsetting. You can search for a therapist in your area on the ADAA website to help you with this challenging, but very important work. Validate your emotions. The short answer is that unless you actively have a plan to harm yourself and the means to do so, theoretically your therapist shouldn’t disclose that to any kind of intervening authority. You feel the intense urge to hit someone or break something. We know how difficult it can be to get a face-to-face therapy appointment these days. Privileged Material. Feel free to share your thoughts in the comments below, and if you're a therapist, let us know if there's anything not on the list that you'd … They have all told me the same thing, some a bit more graceful than the rest, or just by smirking. Some states have even stricter laws in place to protect your personal health information. How lonely and unsupported you can feel inbetween sessions. Facebook. How expensive it can be. Will a therapist give away my secret? Answer (1 of 8): It depends upon the crime to which the patient allegedly confessed. The cause can be related to either a mental health condition or a situational event in your life. Then, I suffer from dissociation, deep pain in my body and mind -the disconnection of my mind and emotions.Then I tell it (or write an e-mail as I … There are some signs to look for. Violent thoughts (common in anxiety and OCD); ... I’m just afraid to tell my therapist since I’m unsure if they will say something about it or think it actually did happen when I’m not even sure. I say, “I understand,” but in truth, I don’t. These feelings, thoughts fantasies are OK. No matter what I do, my mom will almost always find something wrong with it. Yes. Fear #2: My therapist will judge me. I think the sex stuff is pretty normal even with, say … Besides clearly telling your therapist what happened, practice telling your therapist (and, eventually, others) exactly what you need from them in that moment in order to feel heard or understood. ANYTHING disclosed within the context of a clinical treatment that has already occurred is covered absolutely by psychologist/patient confidentiality. At your first visit, a psychologist should give you written information explaining privacy policies and how your personal information will be handled. Continue whatever you were doing prior to the intrusive thought while allowing the anxiety to … He needs to know you have intrusive thoughts, especially thoughts of violence, which he will understand you don't intend to act on. On top of that, my thoughts, feelings and memories are very, very disorganised and fragmented (therefore, as am I). How lonely and unsupported you can feel inbetween sessions. They should know that anything that happens during these sessions is strictly about your mental health and nothing more. Of note, this is the only component of Phase 2. Then, I suffer from dissociation, deep pain in my body and mind -the disconnection of my mind and emotions.Then I tell it (or write an e-mail as I … Intrusive thoughts are a symptom not a judgment of your character. Can you tell your therapist about crimes? Your therapist is trained to help people and guide them to a better place. This happened when I got the courage to mention the thoughts to my therapist. This is a systematic way of confronting the violent (or any other) thoughts in a step-by-step manner. In this article, we talk about feelings of depression that make you feel like you won't desire to do things and other factors (related to motivation) that may have a serious impact on your mental health. Tell your therapist when you’ve committed a crime or you are the victim of a crime. Lack confidence. Too often, therapists move toward hospitalization as a means to assuage their own anxiety about the client’s safety, not to meet the client’s needs. With positive countertransference, the therapist is overly supportive of the client. It should never be looked upon as a sign of failure or weakness, but you should know that it is not something that will be fixed completely overnight – it takes time. View all 77 answers. You should provide them with steadfast support, play an active role in the conversation about their suicidal thoughts (by asking questions), and know when it’s time to tell someone about your friend, such as a therapist. I can’t afford to go to a therapist. Final Thoughts. These may involve assignments carried out under a therapist’s direction in an office or on one’s own at home. Emotional instability is a sign you might be in mental health decline. 1. In addition, the therapist may not be required to inform a client or their family that a report is being made. I dont act out on my thoughts, i am not violent or anything. I might have some follow up questions to your responses, but mostly, I want to get to know you as a person, what brings you to my office, and how I can help you. The therapist may know the right questions to ask to help you discover things about yourself, but they’re not able to do the work for you. I think that genuine disclosure on your part would go a long way in to helping to ensure that your therapist keeps an open mind to suggestion of a diagnosis. Unless you clarify with your therapist what a good outcome is at the start of therapy by mentioning your goals and agree what recovery looks like, then you may be likely to go to therapy for years without any noticeable improvement in your daily life. Permalink. You aren't going there to make them feel good. See my posts on “ How Much Should You Tell a Therapist?” o r “ Why pay a therapist when you can just talk to a friend?” The thought is unusual for you. Even with so many deaths, frank discussions of suicide — and important actions for suicide prevention — remains taboo. When you’re open and honest with your therapist, you give them the opportunity to talk about your feelings and thoughts, and they might be able to give you a more suitable alternative. Many people are embarrassed to discuss their sexual and romantic feelings toward their therapist because they believe that these thoughts and feelings are "inappropriate." “It is OK to express emotions. I was just wondering, since i have not had a life of crime, or unstable emotions, how could i be diagnosed with a pd? Another common concern is that the therapist will judge them. Sufferers can be exposed to violent thoughts in a number of ways. Exactly the way I would say. What are your thoughts on asking a therapist for reassurance of some sort. The point is to re-teach the brain that it is capable of being in the presence of these thoughts without needing to know for certain what the outcome will be. Follow @idontmind on Instagram for new Ask a Therapist answers weekly. No. When the therapist -patient privilege does apply, it covers patients’ statements, and often therapists’ diagnoses and notes. How impossible it can feel to squeeze in a visit in your already hectic schedule. Here are 5 things your therapist forgot to tell you about anger: Violence becomes very attractive to you. If your therapist suggests you may need hospitalization because you're a threat to yourself or others, here are the things you should consider, experts say: Don't get defensive. ... Intrusive thoughts may be violent or disturbing. Now that you know what you should never tell your therapist, you can get the most out of your therapy sessions. If you are concerned about your violent thoughts or worried that you may harm yourself or someone else, seek help from the OCD-trained therapists at The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida. how your therapist can help if you’re having thoughts of suicide or find yourself in a crisis; if your therapist has experience helping others with … I've got a big secret that I'm not going to tell here, but I need your advice coming from a therapist. They have all told me the same thing, some a bit more graceful than the rest, or just by smirking. These are good questions because it is all to common that patients can stay in therapy too long and they have little idea how to answer the second question, is my therapist helping me? It might feel like it’s increasingly difficult to respond to your emotions. There is some great advice here … Anxiety simply causes issues that bring them out more. 1. I have my intake forms on my website for you to fill out in advance so that I do not have to ask you those while meeting with you. No. The treatment is meant to kickstart the part of the brain that can sense confidence in the face of disturbing thoughts, feelings, and impulses. They may be thoughts of a sexual nature, including fantasies. You can ask ahead of time about how this would be handled should the therapist consider filing. So, don't begrudge your therapist or domestic violence workers for not telling you about what can happen emotionally and mentally after you escape abuse. You can contact your state's board of psychology to find out its laws and protections. (United States v. It’s an opportunity to better understand yourself and your mental health in a new way and to get on a path to healing. Ask a Therapist is an ongoing collection of your mental health questions answered by real therapists. My family had gone to see her regarding domestic violence issues having to do with my ex. Although logically, you know thoughts that intrude your mind are not correct, you feel a certain way because of them. Im stuck. The therapist may know the right questions to ask to help you discover things about yourself, but they’re not able to do the work for you. Eat … So, here are some hot tips for questions to ask to determine is your therapist is really helpful. 5. 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