The First Trauma Counseling session
We are not going to talk about everything terrible that has ever happened to you. That sounds terrible, and frankly traumatic.
If you’ve ever been to therapy, then you have had a diagnostic assessment. Thats the therapist term for the first session. I have worked places where this is 18 pages long and often repeats itself, like did you talk to the last guy, I already told him that. And that is what my clients have told me in the past as well.
At the Trauma Therapy Company, we send you intake documents that ask all the required stuff, then in the session we work to get to know each other so we can start to build a trusting working relationship. We try to get to know your world all the while knowing that you are the expert in your life. Even if we meet as much as your insurance will allow or you can afford, which often times, the max is 1 hr a week. What can I know in an hour a week other than what you tell me. I don’t assume anything about your life so from the very beginning I tell my clients they do not have to answer anything they are uncomfortable telling me at this time.
During the first session we will start to get an idea if there is a mental health diagnosis present. Most of the time, my clients tell me what they know their diagnosis is and we assess to see where those symptoms are at this time. We administer assessments from The American Psychological Association to assess where you are now and for monitoring treatment progress every 6 months to a year. For example of your primary report is anxiety, we will assess the anxiety when we start therapy and then at 6 months to see your progress. In the course of working on the past, there maybe some symptoms that increase temporarily before alleviating.
Therapy is as much an art as it is a science. No one’s depression or anxiety looks the same and no one person’s trauma presents the same. You dont have to tell your provider every detail for them to help you work on your trauma. You can share as much as you’re comfortable sharing and there will be more than enough time as we do deeper work.
I never want my clients to leave feeling worse than when they came in. If you do, you’re not going to want to keep coming back. The first session is just to get to know each other other and if you’re expected to word vomit it all up… then what?.. Stuff it back down and go home? At the Trauma Therapy Company, we do things a little different around here.
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