Sarah Noel, MS, LMHC
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      Dear GoodTherapy.org Contributions


      Best Type of Therapy for My Depressed, Unemployed Son?

      "My son is 29 years old and has recently left his job. He is depressed and suffers from anxiety and is having much difficulty making decisions about his life. He tends overall to be negative when suggestions are offered and when he does make a decision, his anxiety builds and he will second guess it to the point of not following through. What kind of therapy would be best for him?" - Considerate Kin

      Click here for my response to Considerate Kin.


      Grieving End of Therapy Relationship

      "My therapist abruptly ended our relationship and switched jobs within the same Counseling Organization. I am not allowed any contact with her. I am having an extremely difficult time adjusting to her abandonment. Started seeing a new therapist she referred me to but just can not let go of my feelings and the pain I feel for my former therapist. No one understands. It feels like she has died and I am being punished by not being able to have some sort of contact with her. 

      At one point my new therapist let me send my former therapist a card and a short note which my former therapist responded by saying it would be okay for me to have a limited contact but at least some contact and three months later I wrote her a letter. Recently I ran into her coming out of my therapy session. I felt surprised and didn't want to let myself feel anything but deep inside I was thrilled to see her but I was not aware of my feelings at that moment. After saying goodbye and I drove away seeing her just reawakened my feelings for her and the pain of the lost feels even deeper. She asked me something when I saw her that I did not answer honestly and felt a strong urge inside to get a message to her but I waited until I felt there was enough time from when I sent her the last letter. When I did finally write that letter and a poem and emailed it to my therapist to send she refused to send it. My reaction was extremely painful and I began feeling deeply depressed and suicidal. 

      Now being denied contact is making me feel like I am being punished for loving my former therapist. When I talked to my psychiatrist about this she felt I should never be able to have any contact at all with my former therapist. Today my new therapist thought that was a bit extreme but we still need to talk about what is okay. I do not think of my former therapist as anything more than someone I would like to become friend with someday. She feels the same way. We had two sessions after I found out she was leaving. One was for a half hour and the last one was for an hour and we were suppose to have one more one hour session but it was cancelled on during our last session. I am a writer and I am working on a manuscript that is about the therapeutic relationship I had with my former therapist. I have been working on it since 2009. 

      Her leaving was a sudden surprise for both of us. We had an amazing therapy relationship with many connections and interests that could have exceeded beyond therapy but we never broke the boundaries of the therapy. We left our last session with the belief that some day we could be friends in real life and on Facebook. I do not know what to do with the situation that has developed. Because of the Ethical Code we can not seek out a friendship until the end of 2013. This is driving me into a state of madness and frustration. I feel like I am being punished for something that I have never done. I do not understand rules on a purely subjective level. It makes us both happy to see the other and before the refusal to send my letter I was working very well with my new therapist. My former therapist was not an interference but denying me any contact with her is very disruptive.

      If you choose this question I hope you can explain what to do in this situation. The emotional reaction to this dilemma has made me driven to be more creative but I would be very happy to be less creative if I could just make contact in a minimalistic way. Just knowing that I haven't lost her would help diminish the feelings of loss and grief that I feel after having so much contact with her for so many year in such an intimate therapeutic relationship. I just want to feel connected and not just in my mind." - Lost & Lonely

      Click here for my response to Lost & Lonely.

      © Copyright 2012 by Sarah Noel, MS, LMHC. All Rights Reserved.