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Re: Therapist Relationship

Posted by Noa on May 17, 2000, at 14:53:57

In reply to Therapist Relationship, posted by Kay on May 17, 2000, at 14:35:15

That is a problem with managed care. Sometimes, the cognitive-behavioral, short term model works and this fits in nicely with filling in insurance managed care forms, ie, what goals the patient is working on, etc. But often, this model is not the right one for patients. If you are made to feel you have to comply and do homework in order to address your needs, while for some this is a good way of working, it can also set up an unnecessary power struggle that just mimics other experiences you have had in your life. I think evoking the insurance company to get you to do your "work" is poor form.

However, that doesn't mean the therapist is a bad therapist. You may also be someone who is sensitive to the issue of compliance, and may have interpreted what the therapist said through the filter of "should-ism". I know there have been numerous times when my perceptions of things my therapist said were skewed, and clarifying them with him was really helpful.

My advice: talk to the therapist about your perception of what he said. It sounds like it can be a productive conversation.


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