Today in the in-patient residence dining room, my table was shared (social distancing and all) with a fellow patient who has been here longer than I, and who started out, assigned to the same psychotherapist that I was assigned to -- and who also went through administration to switch clinicians.
This patient and I have two very different individual personalities, and our interests greatly differ as well, so we don't often have direct conversations, even though we know each other well enough to speak to.
However, I broached the subject of terminating with this particular psychologist here. And we had quite a time comparing notes. Although each of us took an entirely different approach in attempting to make the relationship work, then watching it break down, and giving up -- it would be inappropriate to go into detail -- we both ended up with much the same impression of this rather haughty-acting, remote, defensive personality with which our former therapist confronted us in treatment.
We both think this person is in some kind of trouble: putting up a front, putting on a performance, and going on the defensive when confronted about remoteness and manner. And, although we two patients are very different, we both found ourselves shouldering blame and guilt for how badly the therapist relationship went, which speaks to why each of us needs treatment, of course!
Each of us, in the formal process of changing clinicians, had to go through a formal 'consultation' in which a senior clinician, with whom the patient has no prior connection, interviews the patient separately, as well as a separate interview of the therapist.
And each of us two patients had a different senior psychotherapist for this consultation, and yet our consultant clinicians agreed on the breakdown of the therapeutic relationship and the accountability of the therapist.
This afternoon, for the first time since the initial interview, my work begins with the new therapist. We have a lot of catching up to do! (I get a little weary thinking about it.)