When you are talking about medication with a psychiatrist, there’s always emphasis on the fact that it may not work, that it may have nasty side effects, that it may take several tries and a considerable amount of time to get it right. That even when you get a good combination, it’s not magic, and it won’t solve all your problems.
So why is it that when talk therapies of various varieties are discussed, there’s no such warning? Talk therapies are presented as a bit of a silver bullet, a method of learning to control your illness so it doesn’t control you, with no potential problems?
Talk therapies have the potential for negative as well as positive effects, but that’s never talked about. It’s talked about as an essential part of the process of becoming well, but there’s nary a word about what to do if it goes wrong. Meds not working? Try something else. Talk therapy not working out? *crickets*
There’s simply no talk at all about what might go wrong, no tools for what to do if it’s not working or causing miserable side effects. Why is that?
Talk therapy is not working out for me. Am I alone in this? I feel like maybe I’m the only one that has had this problem, that no-one says anything about it because I’m some sort of freak that can’t do talk things. Or that I’m at fault somehow, that I’m just not trying hard enough.
Talk therapy has been dragging me down. It makes me feel like I’m really unwell, that my reactions to the world are completely abnormal, that I’m utterly broken. The incessant challenging or deconstructing of everything I say makes me not want to speak, because I feel like every utterance is wrong.
Perhaps it doesn’t come with warning because it works for everyone except me.