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this post was submitted on 14 Dec 2023
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This is all great advice. The issue I in particular have and a lot of other guys probably do as well is that I only ever get like 4-5 sessions with any therapist before they basically start booting me out the door. The issue is that per society I'm perfectly functional. I work, I pay my bills, I take good enough care of myself that I function. I've never attempted suicide (although stats show most guys only attempt is the sucsessful one.) I'm a low priority. I'm not a statistically high suicide risk. I'm not at risk of becomming homeless. I'm not being abused or abusing drugs. I'm already receiving medication that kind of works. All in all my situation is not dire so naturally the people who are in a more dire situation get prioritized and there are a lot of people in more dire situations.
I have enough of a medical background to know how triage works and I get that that is what is happening but it still just sucks. No place will actually keep me on long enough for me to improve at all and even if I do start to improve I get dumped at the first slightest sign of improvement. So I'm just stuck perpetually "functioning". It's kind of like the wellfare cliff. I'm doing just well enough that there's no long term help available.
I read your response with interest and empathy. However, I feel it's important to address a few misconceptions for the benefit of anyone reading this.
Firstly, the idea that mental health practitioners prioritize patients based on their societal functionality or perceived risk level is not accurate. In the United States, mental health professionals are bound by ethical guidelines that stress the importance of client-centered care. This means that treatment decisions should be based on individual needs and therapeutic goals, not on a patient's external life circumstances like job stability or living situation.
If you've repeatedly been discharged from therapy after only a few sessions, this is concerning and not a standard practice in mental health care. Therapists are trained to provide ongoing support, and decisions to conclude therapy should ideally be mutual and based on progress and goals, not on arbitrary measures of functionality.
Also, the concept of 'triage' in mental health doesn't operate the same way as in emergency medical settings. While it's true that individuals in crisis might need immediate attention, this doesn't mean others are deemed 'low priority.' Everyone's mental health needs are important, and a good therapist understands this.
If you or anyone else feels that your therapy is being prematurely concluded or that you're not getting the depth of support you need, it's crucial to bring this up with your therapist. If the issue persists, seeking a second opinion or a different therapist might be necessary. It's important to find a therapist who resonates with your needs and provides the required level of support.
While your experiences are valid and unfortunate, they are not reflective of standard mental health practice. I encourage anyone seeking therapy to advocate for their needs and keep searching for a therapist who offers the right support and commitment.